2019
DOI: 10.1093/brain/awz301
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Human CCR5high effector memory cells perform CNS parenchymal immune surveillance via GZMK-mediated transendothelial diapedesis

Abstract: Specific immune-cell populations patrol the CNS in search of pathogens and tumours. Herich et al. identify CD4+ CCR5high GzmK+ effector-memory cells as a brain-surveilling subpopulation capable of crossing the uninflamed blood-brain barrier, and reveal alterations in this population in HIV+ patients with neurological symptoms and in patients with multiple sclerosis.

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Cited by 40 publications
(50 citation statements)
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“…Furthermore, fingolimod treatment was associated with elevated frequencies of CD56 + memory T cells, and increased granzyme (GZM) B, perforin, and Fas ligand expression in memory T cells in MS patients, and interestingly, this T cell phenotype was also associated with clinical relapses [192]. Additionally, Herich et al demonstrated that CD4 + T EM expressing high levels of CCR5 and GZMK are involved in CNS immune surveillance in healthy individuals, but that this subset was dominant in peripheral blood mononuclear cells of MS patients, and that natalizumab (anti-α4-integrin) treatment significantly decreased these cells [193]. Furthermore, the CCR5 high GZMK + CD4 + T EM subset shares many transcriptional features with T RM and Th17 cells, suggesting that it could play a central role in CNS pathology [193].…”
Section: Autoreactive T CM and T Em Subsets And Disease-modifying Thementioning
confidence: 99%
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“…Furthermore, fingolimod treatment was associated with elevated frequencies of CD56 + memory T cells, and increased granzyme (GZM) B, perforin, and Fas ligand expression in memory T cells in MS patients, and interestingly, this T cell phenotype was also associated with clinical relapses [192]. Additionally, Herich et al demonstrated that CD4 + T EM expressing high levels of CCR5 and GZMK are involved in CNS immune surveillance in healthy individuals, but that this subset was dominant in peripheral blood mononuclear cells of MS patients, and that natalizumab (anti-α4-integrin) treatment significantly decreased these cells [193]. Furthermore, the CCR5 high GZMK + CD4 + T EM subset shares many transcriptional features with T RM and Th17 cells, suggesting that it could play a central role in CNS pathology [193].…”
Section: Autoreactive T CM and T Em Subsets And Disease-modifying Thementioning
confidence: 99%
“…Additionally, Herich et al demonstrated that CD4 + T EM expressing high levels of CCR5 and GZMK are involved in CNS immune surveillance in healthy individuals, but that this subset was dominant in peripheral blood mononuclear cells of MS patients, and that natalizumab (anti-α4-integrin) treatment significantly decreased these cells [193]. Furthermore, the CCR5 high GZMK + CD4 + T EM subset shares many transcriptional features with T RM and Th17 cells, suggesting that it could play a central role in CNS pathology [193].…”
Section: Autoreactive T CM and T Em Subsets And Disease-modifying Thementioning
confidence: 99%
“…We assume that cells at different stages undergo different processes. A total of four possible cell stages X in R 4 , two for the compartments (PB, CSF) and two for naïve and differentiated lymphocytes, respectively, are considered. Transition between all stages will be described next.…”
Section: Mathematical Modellingmentioning
confidence: 99%
“…Under homeostatic conditions these barriers regulate transmigration of distinct immune-cell subsets into the CNS [1]. As a consequence, the immune-cell profiles differ between peripheral blood (PB) and cerebrospinal fluid (CSF) and only distinct immune-cell subsets, mainly fulfilling immune-surveillance functions, are detectable in the CSF of healthy individuals [2][3][4]. Under autoinflammatory conditions, barrier dysfunction and/or hyperactivation of immune-cell subsets results in increased migration of pathogenic lymphocytes into the CNS [5].…”
Section: Introductionmentioning
confidence: 99%
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